Provider Demographics
NPI:1306065420
Name:HILDRETH, BARBARA C (CADCII)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:C
Last Name:HILDRETH
Suffix:
Gender:F
Credentials:CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7932 BRIMSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-1011
Mailing Address - Country:US
Mailing Address - Phone:916-725-1396
Mailing Address - Fax:
Practice Address - Street 1:1828 TRIBUTE RD STE H
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4310
Practice Address - Country:US
Practice Address - Phone:916-564-4400
Practice Address - Fax:916-564-4424
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA8454705101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)